Vuto lalikulu lomwe anthu ambiri amakumana nalo masiku ano ndi kunenepa kwambiri. Palibe chomwe angachite kuti achepetse thupi. Amapita ku malo ochitira masewera olimbitsa thupi, amawongolera zakudya zawo, komanso amachita masewera olimbitsa thupi osiyanasiyana. Koma kwa ena, mosasamala kanthu za zomwe amachita, zimakhala zovuta kwambiri kupeza zotsatira zomwe akufuna. Kunenepa kwambiri, kapena monga momwe timatchulira, "kunenepa kwambiri" si vuto lokongola lokha, komanso ndi chifukwa cha matenda ambiri oopsa monga matenda a shuga, kuthamanga kwa magazi, ndi cholesterol. Chifukwa chake, lero tikambirana za njira yopambana kwambiri yamankhwala yothandizira omwe akuvutika ndi kunenepa kwamtunduwu. Imeneyo ndi opaleshoni ya m'mimba.
Mwachidule, kodi opaleshoni ya m'mimba ndi chiyani?
Opaleshoni ya m'mimba yokhala ndi manja, kapena monga momwe madokotala amanenera, "sleeve gastrectomy," ndi opaleshoni yochepetsa thupi. Imatchedwanso "bariatric surgery." Zimene zimachitika apa n'zosavuta kwambiri. Mbali yaikulu ya m'mimba mwanu, pafupifupi 80%, imachotsedwa opaleshoni.
Ganizirani mimba yanu ngati thumba laling'ono. Pambuyo pa opaleshoni iyi, chidutswa chachikulu cha thumbacho chimachotsedwa, ndikusiya gawo laling'ono looneka ngati nthochi, lofanana ndi chubu (manja). Ndicho chifukwa chake limatchedwa opaleshoni ya m'mimba. Cholinga chachikulu cha opaleshoniyi ndikupangitsa mimba kukhala yaying'ono kwambiri mwanjira iyi.
Chabwino, kodi mumachepetsa bwanji thupi mwa kuchepetsa mimba yanu?
Tsopano mwina mukudabwa kuti, "Ndingachepetse bwanji thupi pochepetsa mimba yanga?" Pali zifukwa ziwiri zazikulu zomwe zimapangitsa izi.
1. Kuchepetsa kuchuluka kwa chakudya chomwe mumadya: Popeza mimba yanu ndi yaying'ono kwambiri, kuchuluka kwa chakudya chomwe mungadye nthawi imodzi kumachepa kwambiri. Ngakhale mutakhala kuti munkadya mbale yodzaza, mutatha opaleshoni mudzamva kukhuta ndi chakudya chochepa. Mwachidule, mudzamva kukhuta mwachangu. Izi mwachibadwa zimalamulira kuchuluka kwa ma calories omwe thupi lanu limalandira.
2. Kuchepa kwa mahomoni a njala: Iyi ndi mfundo yofunika kwambiri. Mimba yathu imapanga mahomoni otchedwa `(ghrelin)` omwe ndi mahomoni akuluakulu omwe amayambitsa njala. Popeza pafupifupi 80% ya mimba imachotsedwa panthawi ya opaleshoni ya m'mimba, kuchuluka kwa mahomoni amenewa kumachepanso kwambiri. Izi zikutanthauza kuti njala yanu ndi chilakolako chanu cha chakudya zimachepa kwambiri. Chifukwa chachikulu chowonjezereranso kulemera mutachepetsa thupi ndi chilakolako chosalamulirika chofuna kudya. Opaleshoniyi imaperekanso yankho labwino pa izi.
Chofunika kwambiri ndichakuti opaleshoniyi si yokongoletsa thupi. Imachitika pofuna kuchepetsa mavuto aakulu azaumoyo omwe amabwera chifukwa cha kunenepa kwambiri.
Ndani ali woyenera kuchitidwa opaleshoni iyi?
Iyi si opaleshoni yomwe aliyense angachite. Dokotala adzakuyang'anani mosamala ndikukutumizirani opaleshoniyi pokhapokha ngati mwakwaniritsa ziyeneretso zinazake. Tiyeni tiwone ziyeneretso zimenezo.
| Kuyenerera | Kufotokozera kosavuta |
|---|---|
| Kunenepa Kwambiri | BMI yanu iyenera kukhala 40 kapena kupitirira apo. BMI ndi muyeso woti muli ndi kulemera koyenera malinga ndi kutalika kwanu. Nthawi zina, ngati BMI yanu ili pafupi ndi 35 ndipo muli ndi matenda ena okhudzana ndi kunenepa kwambiri, monga matenda a shuga ndi kuthamanga kwa magazi, mungakhalebe oyenerera opaleshoniyi. |
| Njira zina zimalephera | Musanachite opaleshoni, muyenera kuti munayesa kuchepetsa thupi pogwiritsa ntchito njira zina, monga zakudya ndi masewera olimbitsa thupi. Makampani ena a inshuwalansi angafune kuti mutenge nawo mbali mu pulogalamu yochepetsera thupi yoyang'aniridwa ndi dokotala kwa miyezi 3-6 musanavomereze opaleshoniyo. |
| Kukonzekera mwakuthupi ndi m'maganizo | Iyi ndi opaleshoni yaikulu komanso kusintha kwa moyo wonse. Choncho muyenera kukonzekera bwino, mwakuthupi komanso m'maganizo. Musanasankhe ngati mukuyenerera opaleshoniyi, muyenera kukumana ndi gulu la akatswiri azakudya, akatswiri a zamaganizo, ndi akatswiri ena. |
Ndi matenda ena ati omwe angachiritsidwe ndi opaleshoni iyi?
Ngakhale cholinga chachikulu cha opaleshoni ya m'mimba ndi kuchepetsa thupi, imathanso kuwongolera, ndipo nthawi zina kuchiritsa kwathunthu, matenda ena ambiri oyambitsidwa ndi kunenepa kwambiri.
- Kukana kwa insulin ndi matenda a shuga amtundu wa 2
- Kuthamanga kwa magazi ndi matenda ena a mtima
- Kuchuluka kwa cholesterol m'magazi (hyperlipidemia) ndi atherosclerosis
- Matenda a chiwindi a mafuta osamwa mowa (NAFLD)
- Kulephera kugona mokwanira
- Kupweteka kwa mafupa ndi mafupa
Opaleshoni iyi imathandiza kupereka mpumulo ku matenda ambiri otere.
Kodi opaleshoni imachitika bwanji?
Tiyeni tsopano tiwone zomwe zimachitika opaleshoni isanachitike, panthawi yake, komanso pambuyo pake.
Kodi muyenera kuchita chiyani musanachite opaleshoni?
Madokotala anu akatsimikiza kuti ndinu woyenera kuchitidwa opaleshoni, mudzapatsidwa zakudya zapadera zamadzimadzi kwa milungu iwiri musanachite opaleshoni. Cholinga chake ndi kuthandiza kuchepetsa mafuta ena osafunikira m'mimba ndi m'chiwindi, zomwe zimapangitsa opaleshoniyo kukhala yotetezeka.
Kuphatikiza apo, simudzaloledwa kudya kapena kumwa chilichonse kwa maola 12 opaleshoni isanachitike, chifukwa m'mimba mwanu muyenera kukhala opanda kanthu panthawi ya opaleshoni.
Kodi opaleshoniyi imachitidwa bwanji?
Tsopano, nthawi zambiri, opaleshoniyi imachitika pogwiritsa ntchito njira yotchedwa ``laparoscopic surgery.'' Izi zikutanthauza kuti, m'malo mopanga chotupa chachikulu ndikutsegula mimba, opaleshoniyi imachitika poika kamera ndi zida zapadera kudzera m'mabala angapo ang'onoang'ono kwambiri. Izi zimatchedwanso "keyhole surgery." Njirayi siipweteka kwambiri ndipo nthawi yochira ndi yochepa kwambiri.
1. Choyamba, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mukugona.
2. Kenako dokotalayo amadula pang'ono kwambiri (pafupifupi theka la inchi) m'mimba mwanu ndikulowetsa chubu chaching'ono kudzera mmenemo.
3. Mpweya wochepa wa carbon dioxide umadutsa mu chubu kupita m'mimba kuti ulowetse m'mimba. Izi zimathandiza kuti ziwalo zomwe zili mkati ziwonekere bwino.
4. Kenako, kamera kakang'ono (laparoscope) kamayikidwa kudzera mu chubu. Dokotala amachita opaleshoniyo poyang'ana zithunzi kuchokera ku kamera pa chowunikira.
5. Kucheka kamodzi kapena zingapo zazing'ono kumachitika, komwe zida zazitali komanso zopyapyala zofunika pa opaleshoni zimayikidwa.
6. Pogwiritsa ntchito zida zimenezi, gawo la "manja" la m'mimba lomwe likufunika kusiyidwa limayesedwa, ndipo gawo lalikulu losafunikira limalekanitsidwa ndikudulidwa ndi mtundu wapadera wa stapler (stapler ya opaleshoni).
7. Pomaliza, gawo lochotsedwa la m'mimba limachotsedwa ndipo mabala ang'onoang'ono amasokedwa.
Opaleshoni yonseyi nthawi zambiri imatenga pafupifupi ola limodzi ndi theka.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mudzafunika kukhala m'chipatala kwa tsiku limodzi kapena awiri mutachita opaleshoni. Panthawi imeneyi, ogwira ntchito zachipatala adzakuthandizani kuchepetsa ululu wanu ndi kuthana ndi zotsatirapo zake kwakanthawi, monga nseru.
Mukatuluka kuchipatala, muyenera kuonana ndi dokotala nthawi ndi nthawi. Iye adzayang'anira kuchepa kwanu thupi, ngati matenda ena akuchepa, komanso ngati pali zotsatirapo zina pambuyo pa opaleshoni.
Kodi ndikufunika kusintha kwambiri zakudya ndi kumwa pambuyo pa opaleshoni?
Inde, ndithudi. Iyi ndi gawo lovuta komanso lofunika kwambiri paulendowu. Pambuyo pa opaleshoni, muyenera kusamala kwambiri ndi zomwe mumadya ndi kumwa moyo wanu wonse.
- Masabata angapo oyamba:Munthawi imeneyi, mutha kudya zakumwa zokha. Zinthu monga supu, mkaka, ndi madzi a zipatso.
- Chotsatira: Mutha kusintha pang'onopang'ono kupita ku zakudya zofewa, monga mpunga wosenda, ndiwo zamasamba zosenda, ndi yogati.
- Patatha miyezi ingapo: Mutha kuyamba pang'onopang'ono kudya zakudya zolimba nthawi zonse.
Koma kumbukirani, simungadye chakudya chochuluka monga kale. Chakudya chomwe mumadya chiyenera kukhala chopatsa thanzi kwambiri , chifukwa muyenera kupeza michere yonse yomwe thupi lanu limafunikira pang'onopang'ono.
Komanso, mukatha opaleshoni, muyenera kumwa mavitamini ndi mchere wowonjezera moyo wanu wonse. Izi zili choncho chifukwa zimakhala zovuta kupeza michere yonse yomwe thupi lanu limafunikira kuchokera ku chakudya chokha chifukwa cha kuchepa kwa chakudya chomwe mumadya.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina.
Ubwino
- Poyerekeza ndi mitundu ina ya opaleshoni ya bariatric, iyi ndi opaleshoni yosavuta, yachangu, komanso yotetezeka.
- Popeza opaleshoniyi siisintha matumbo, chiopsezo cha kusowa zakudya kwa nthawi yayitali n'chochepa.
- Mukhoza kuchepetsa thupi bwino kwambiri ndipo potero mumachepetsa matenda monga matenda a shuga ndi kuthamanga kwa magazi.
Zoopsa ndi Zovuta
Chiwopsezo cha mavuto omwe angabwere chifukwa cha opaleshoniyi ndi chochepa kwambiri (chosakwana 1%). Komabe, ndikofunikira kudziwa.
| Mtundu wa chiopsezo | Kufotokozera |
|---|---|
| Zoopsa za kanthawi kochepa zokhudzana ndi opaleshoni |
|
| Mavuto a nthawi yayitali |
|
Kodi ndingachepetse thupi langa bwanji? Kodi ndibwezanso kulemera kwanga?
Kawirikawiri, mutha kutaya pakati pa 25% ndi 30% ya kulemera konse kwa thupi lanu mkati mwa chaka choyamba kapena ziwiri mutachita opaleshoni. Mwachitsanzo, munthu wolemera makilogalamu 120 akhoza kutaya pafupifupi makilogalamu 30-36. Kuchuluka kumeneku kumadalira moyo womwe mumatsatira mutachita opaleshoni.
Anthu ena angawonjezere thupi pakapita nthawi, mwina chifukwa chakuti amabwerera ku zizolowezi zawo zakale zodyera kapena chifukwa chakuti mimba yawo imatambasuka pakapita nthawi. Ngati zimenezo zitachitika, mungafunike kuganizira za opaleshoni yokonzanso thupi. Izi zingaphatikizepo kusintha kwa opaleshoni yoyamba kapena kusintha kukhala opaleshoni ina yochepetsera thupi, monga gastric bypass.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya m'mimba yokhala ndi manja ndi njira yothandiza kwambiri yochepetsera kunenepa kwambiri ndi matenda ena okhudzana ndi kunenepa kwambiri. Si njira yokongoletsera thupi.
- Uku ndi kusintha kwakukulu, kosasinthika, komanso kwa moyo wonse. Choncho dziwani bwino musanapange chisankho.
- Kupambana kwa opaleshoniyi kuli ndi inu 100%. Muyenera kudzipereka kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, komanso kukhala ndi moyo wathanzi mukamaliza opaleshoniyi.
- Opaleshoni iyi sikuti imangothandiza kuchepetsa thupi, komanso imathandiza kuchiza matenda angapo monga matenda a shuga, kuthamanga kwa magazi, ndi cholesterol.
- Ngati mukuganiza zochita opaleshoniyi, lankhulani momasuka ndi dokotala wa opaleshoni kapena dokotala wa banja lanu za opaleshoniyi kuti mumvetse bwino ngati ili yoyenera kwa inu komanso zabwino ndi zoyipa zake.
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